Active NPI
Ambredawn Tacara Rush, AGPCNP
- Primary Care Nurse Practitioner
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 5017519
- Practice address
- 101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781 - Phone
- (855) 743-2247
- NPI assigned
- Jan 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5017519 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 285820 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 4029660 | KY |
Addresses
Primary practice location
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Mailing address
2358 Windley Dr
Gastonia, NC 28054-6203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH, IA, VT, WI, VA, KY, TN, TX, DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 10
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
107 E Beckert Rd
New London, WI 54961-2509
Phone (920) 982-5354
1302 Millville Ave
Hamilton, OH 45013-3961
Phone (513) 867-4100
13900 W Burleigh Rd
Brookfield, WI 53005-3019
Phone (262) 781-0550
2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone (414) 435-2005
36855 Ridge Rd
Willoughby, OH 44094-4128
Phone (440) 942-4342
7500 W N Ave
Wauwatosa, WI 53213-1717
Phone (414) 258-6170
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4029660 | KY | MD | Gerontology Nurse Practitioner |
| 5017519 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Current | Accepting new patients | |
| Complexcare Medical Group Mid-Atlantic H PLLC | Current | Accepting new patients | |
| Post Acute Specialists, LLC | Current | Accepting new patients | |
| Texas Post Acute Specialists, PA | Current | Accepting new patients | |
| Post Acute Specialists of Vermont PLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations (25 of 28)
2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594
950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151
2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521
430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116
555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011
555 Anthony Wayne Trl
Waterville, OH 43566
Phone (330) 720-0406
36855 Ridge Rd
Willoughby, OH 44094
Phone (440) 942-4342
1030 High St
Worthington, OH 43085
Phone (614) 876-7356
1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530
141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020
1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310
2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407
8611 Main St
Needville, TX 77461
Phone (979) 793-4256
9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700
519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499
815 Peach St
Tomball, TX 77375
Phone (281) 351-5443
9825 S Jordan Gtwy
Sandy, UT 84070
1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500
601 Red Village Rd
Lyndonville, VT 05851
Phone (802) 626-3361
110 Fairfax Rd
Saint Albans, VT 05478
Phone (518) 324-7403
7 Forest Hill Dr
Saint Albans, VT 05478
Phone (518) 324-7403
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Naperville, IL
- NPI 1114441565
DC, KY, NC, OH, TN, VA, WI
-
- Internal Medicine Physician
- Novi, MI
- NPI 1275427429
NC
-
- Family Medicine Physician
- Lyndonville, VT
- NPI 1639700719
-
- Internal Medicine Physician
- Balch Springs, TX
- NPI 1609314392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1295440162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2358 WINDLEY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280546203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 CABARRUS AVE E STE 200",
"city": "CONCORD",
"state": "NC",
"postal_code": "280253781",
"telephone_number": "855-743-2247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "AMBREDAWN",
"middle_name": "TACARA",
"credential": "AGPCNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-16",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5017519",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "285820",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "KY",
"license": "4029660",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.